不是所有的东西都是缺血光学神经病变
Ronell Fernández Hernández1, José Enrique Martinez Rodriguez2, Marta Saint-Gerons Trecu3
1Department of Ophthalmology, Consorci Parc de Salut Mar de Barcelona, Barcelona, Spain.
Survey of ophthalmology
|May 25, 2024
概括
一个罕见的扩散型大B细胞淋巴瘤病例,呈现出光盘胀和视力丧失. 及时诊断和治疗对于管理这种影响眼睛和大脑的侵袭性恶性瘤至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 在瘤学瘤学.
背景情况:
- 系统性疾病的眼部表现可能会带来诊断挑战.
- 光盘和视力丧失可能表明各种潜在病理.
研究的目的:
- 报告一种独特的扩散型大B细胞淋巴瘤病例,呈现眼部症状.
- 强调在无法解释的视觉障碍中考虑全身恶性瘤的重要性.
主要方法:
- 临床检查包括光学连贯断层扫描 (OCT) 和脑磁共振成像 (MRI).
- 进行全面的血清学分析,排除其他原因.
- 脑部活检用于确定的诊断.
主要成果:
- 患者出现了突然的,痛苦的视力下降,光盘,以及视网膜内/视网膜下液体.
- 最初的调查排除了传染病和自身免疫病因.
- 尽管经验性皮质类固醇治疗,神经症状恶化,导致大脑活检显示扩散大B细胞淋巴瘤.
结论:
- 扩散性大B细胞淋巴瘤可以表现为异常的眼睛和神经症状.
- 一个高的怀疑指数是必要的早期诊断系统性淋巴瘤呈现与视力障碍.
- 多学科的诊断方法对于复杂的病例至关重要.
相关概念视频
Glaucoma: Overview
548
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
548
Open Angle Glaucoma: Treatment
430
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
430
Angle Closure Glaucoma: Treatment
479
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
479
Ischemic Heart Disease: Overview
1.3K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.3K


